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Contact Information

CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC
3100 MACCORKLE AVE
SUITE 810
CHARLESTON, WV25304-1223
 Phone: 304-720-4422
 Fax: 304-720-4421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLESTON DIABETES ENDOCRINE CONSULTANTS PLLC · (Female)

NPI Number 1710128541
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2009
Last updated 10/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 21072
  • WV Medicaid 3810014496
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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